General Course Syllabus

Clinical Anatomy, Embryology and Imaging Page 1 BMS 6115C Version 6/4/2007

General Course Syllabus You will be given a ten question multiple-choice examination on the first day of lecture to generally assess whether you read the syllabus!!! A score will not be calculated into your grade, but a 100% score will provide a bonus point on the first in-term examination. This syllabus is a guide for participation in the course and certain information may be changed during the implementation of the course. Every effort will be made to announce any changes in class or laboratory sessions, but please periodically review course Blackboard site for any changes. Overview Human Anatomy, Embryology and Imaging Course BMS 6115 Goals. Human Anatomy, Embryology and Imaging (BMS 6115) is a 10 week long course and runs concurrently with the Doctoring 1 Course. Because this is the first basic science course presented in the curriculum, its prime goal is to provide the students with a basic understanding of the gross anatomy, embryology and radiologic imaging of the entire body which will serve as a solid foundation for the remainder of the student's medical education and future profession. Second, this course was designed to prepare the student for the applications of anatomy and embryology to the clinical sciences, and for the application of radiologic imaging toward diagnosis of clinical disorders. Students will be stimulated to utilize learning resources such as faculty, textbooks, journals and FSU-COM computer resources. The course will also promote the development of student-directed problem solving skills to recognize an existing knowledge base and any gaps in that knowledge base that must be learned in order to understand the applications of clinical anatomy to clinical reasoning. Working in small groups studying clinical cases and studying in the laboratory will promote a team approach to learning. Students will utilize a variety of digital imaging programs that will supplement learning that occurs in the laboratory setting, lectures, small-group sessions and personal study time. As a side benefit, this course will introduce the student to anatomical terminology commonly used in medicine today. The anatomic knowledge learned in this course will be both applied and reinforced in later courses in the curriculum. Course Objectives: The student will be able to: Knowledge: 1. Demonstrate a foundation of knowledge in normal anatomy, embryology, cross-sectional anatomy and radiologic imaging of the human body. 2. Apply anatomical knowledge to solving clinical problems. 3. Demonstrate knowledge of the anatomical differences in the human body from birth to senescence; 4. Identify the limits of their anatomical knowledge when trying to apply it to understanding clinical problems, and locate needed information in a timely manner. 5. Recognize the anatomy and laboratory findings related to variations, pathology, previous surgery and human life cycle from gestation to the elderly patient. Clinical Anatomy, Embryology and Imaging Page 2 BMS 6115C Version 6/4/2007

Skills: 6. Utilize a variety of resources (faculty, textbooks, computers, internet, etc.) to locate anatomic, embryologic, and/or radiologic information in order to understand how it relates to clinical problems. Attitudes/Behaviors: 7. Work together as a professional team in the anatomy laboratory and in the case-based small-group sessions. 8. Engage in self-evaluation and evaluate peer performance during the laboratory and small-group experiences of the course. COMPETENCY & LEARNING OBJECTIVES AND EXAMPLES OF OUTCOME MEASURES IN THE CLINICAL ANATOMY, EMBRYOLOGY AND IMAGING BMS 6115C The following are the general institutional learning objectives that have been organized by the competencies established by the College of Medicine. General Competency Professional values, attitudes, and behaviors KEY AB1 AB3 AB6 AB7 S15 AB9 Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Display the personal attributes of compassion, honesty, and integrity in relationships with patients, families, communities, and the medical profession. Exhibit appropriate value for the sensitive nature of the doctor/ patient relationship and the importance of compassionate communication which is sensitive to the patient's familial, cultural, and spiritual circumstances. Demonstrate social awareness and commitment to the welfare of underserved communities (rural, urban underserved, and elderly). Demonstrate awareness of the health care needs of aging patients and a willingness to care for the elderly. Adopt a comprehensive, integrated approach to patient care incorporating relevant biomedical, psychological, and social/cultural factors. Demonstrate respect for the roles of other healthcare providers and of the need to collaborate with others in caring for individual patients and in promoting public health and community service. Outcome Measure(s) Examples Observational during casebased small-group sessions Observational during casebased small-group sessions NA Observational during casebased small-group sessions. Observational during casebased small-group sessions Observational during casebased small-group sessions Clinical Anatomy, Embryology and Imaging Page 3 BMS 6115C Version 6/4/2007

General Competency Moral reasoning and ethical conduct General Competency Communicating with patients, families, and colleagues KEY K10 AB4 KEY S1 S7 S8 Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Describe and discuss the implications of basic ethical principles, including confidentiality, informed consent, truth telling, and justice, for the care of patients. Demonstrate professionalism and high ethical standards in all aspects of medical practice, specifically competence, honesty, integrity, compassion, respect for others, professional responsibility and social responsibility. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Demonstrate the ability to elicit accurate, comprehensive, and focused medical histories by employing techniques that facilitate the patient's sharing of information. Outcome Measure(s) Examples Observational during casebased small-group sessions Observational during casebased small-group sessions, laboratory sessions and team teaching. Outcome Measure(s) Examples Observational during casebased small-group sessions Demonstrate the ability to educate patients about their health problems and Observational during casebased small-group sessions to motivate them to adopt health promoting behaviors. Demonstrate the ability to build rapport and to employ active listening and relationship enhancing behaviors (e.g., empathic responding). NA S13 Demonstrate the ability to communicate compassionately and effectively, both verbally and in writing, with patients, their families, colleagues, and others with whom physicians must exchange information in carrying out their responsibilities. Observational during casebased small-group sessions General Competency Application of basic biomedical and behavioral sciences to patient care AB2 KEY K1 Exhibit well-developed interpersonal skills in providing information and comfort to patients and their families. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Recognize the scientific basis of health, disease, and medicine in the management of common and high impact medical conditions in contemporary society. Observational during casebased small-group sessions Outcome Measure(s) Examples Observational during casebased small-group sessions Clinical Anatomy, Embryology and Imaging Page 4 BMS 6115C Version 6/4/2007

General Competency Essential clinical skills K2 K3 K4 K5 K7 K12 S9 KEY S2 Describe the development, structure and function of the healthy human body and each of its major organ systems at the macroscopic, microscopic, and molecular levels. Recognize and discuss the implications of altered structure and function (pathology and pathophysiology) of the body and its major organ systems that are seen in various diseases and conditions. Identify changes in the structure and function of the human body associated with the aging process and be able to distinguish normal changes associated with aging from those that denote disease. Describe the molecular basis of diseases and maladies and the way in which they affect the body (pathogenesis). Describe normal human psychosocial development across the lifespan and recognize deviations requiring further evaluation and intervention. Observational during casebased small-group sessions. Performance during lab session, large group session, quizzes and major examinations Performance during la b sessions, weekly clinical cases, cadaver autopsy reports Performance during lab sessions, weekly cases, cadaver autopsy reports NA NA Discuss the application of psychodynamic, behavioral, and socialcognitive theories of human thought and NA behavior in describing and analyzing patient behavior. Demonstrate the effective use of pharmacotherapeutic agents and other therapeutic modalities, while teaching patients the importance of preventative medicine, health promotion, and wellness. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Demonstrate the ability to conduct both effective and accurate comprehensive and focused physical examinations and know when each is most appropriate. Performance during case-based small group sessions and cases NA Outcome Measure(s) Examples S10 Demonstrate appropriate technique for NA performing routine procedures as specified below: assist or apply cast/splint (n=2); observe a circumcision (n=1); perform and interpret an EKG (n=3); perform an Clinical Anatomy, Embryology and elliptical Imaging excision Page of 5 a skin lesion (n=1); BMS 6115C place a Foley catheter in a male or Version 6/4/2007 female (n=4); incise and drain an abscess (n=3); perform endotracheal

General Competency Problem solving and critical thinking General Competency S19 K13 S16 S6 KEY K6 S3 S4 S5 KEY intubation on a model or assist with patient intubation (n=1); place an IV line (n=2); perform a lumbar puncture (n=1); place an NG Tube (n=1); perform a Pap Smear (n=5); perform a vaginal delivery (n=1); perform a simple closure of a surgical skin wound (n=10). Perform arterial puncture (n=1). Demonstrate appropriate technique for performing Basic Life Support and Advanced Life Support. NA Demonstrate knowledge of the functional approach to managing chronic NA conditions, including knowledge of the impact of chronic illness on function. Demonstrate the ability to assess functional status and to plan and implement interventions to increase functional ability or limit disability. Demonstrate the ability to employ a comprehensive, multidisciplinary approach to the care of patients that integrates biomedical and psychosocial considerations. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Describe basic biobehavioral and clinical science principles used to analyze and solve problems related to the diagnosis, treatment, and prevention of disease. Demonstrate the appropriate use of laboratory tests and radiographic studies in making diagnostic and treatment decisions. Demonstrate the ability to evaluate the patient's medical problems and to formulate accurate hypotheses to serve as the basis for making diagnostic and treatment decisions. Demonstrate the ability to formulate and implement a plan of care for both the prevention and treatment of disease, enhancement of the patient s functional capabilities, and the relief of symptoms and suffering. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Lifelong learning and information K11 Describe strategies to support lifelong management learning via both print and electronic Clinical Anatomy, Embryology and sources Imaging to assist Page in making 6 diagnostic BMS 6115C Version 6/4/2007 NA NA Outcome Measure(s) Examples Performance during lab sessions, small group sessions, large group interactive sessions, quizzes and examinations Performance during lab sessions, small group sessions, large group interactive sessions, quizzes and examinations Performance in small-group sessions, case wrap ups and cadaver autopsy report Performance in small-group sessions and case wrap up sessions Outcome Measure(s) Examples Observation and performance in case-based small-group sessions and case wrap up

General Competency Social, cultural, and community context of health, illness, and care General Competency Personal awareness General Competency Organizations, systems, and quality improvement S11 S12 KEY K8 K9 K14 AB8 KEY AB5 S17 KEY S14 and treatment decisions (e.g., practice guidelines) and to remain current with advances in medical knowledge and practice (e.g., medical information data bases). Demonstrate the ability to acquire new information and data and to critically appraise its validity and applicability to one's professional decisions, including the application of information systems technologies for support of clinical decision-making. Demonstrate the ability to organize, record, research, present, critique, and manage clinical information. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Describe the role of family, community and culture as factors influencing patient presentations, interpretations of illness NA episodes and adherence to treatment recommendations. Recognize the implications of cultural, social, economic, legal, and historical contexts for patient care. Demonstrate knowledge of the unique health care needs of ethnically diverse populations and communities. Demonstrate awareness of the unique health care needs of ethnically diverse populations and communities. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Exhibit a capacity for self-evaluation, moral reflection, and ethical reasoning to form the basis for a self-directed, lifelong engagement in the responsible, committed, compassionate practice of medicine. Recognize abilities and limitations; know when to request assistance. Institutional Learning Objective K=Knowledge S=Skills AB=Attitudes/Behaviors Demonstrate the ability to work effectively as part of a health care team, and appreciate the contributions of other health care professionals and agencies to the health of the individual and the health of the community. Performance in case-bases small group sessions and cadaver autopsy reports Performance in cadaver autopsy report Outcome Measure(s) Examples Performance in case-based small-group sessions and case wrap up NA Performance in case-based small-group sessions and case wrap up Outcome Measure(s) Examples Observation and performance during lab sessions, small group sessions, large group interactive sessions, quizzes, self/peer evaluations and examinations Observational assessment by faculty and staff. Outcome Measure(s) Examples Observation of performance in lab sessions, small-group sessions, exchange of dissection and imaging information, cadaver autopsy report AB10 Demonstrate a respect for the roles of Clinical Anatomy, Embryology and Imaging Page 7 BMS 6115C Version 6/4/2007 NA

K15 AB11 S18 other healthcare providers and of the need to collaborate with others in caring for individual patients and in promoting public health and community service. Demonstrate basic knowledge of the global health care delivery system in the community including physicians, hospitals, outpatient centers, home health agencies and the role of community agencies in that system. Demonstrate an understanding of the role of the physician in working with community agencies for the benefit of his/her patients. Demonstrate an understanding of the principles and method of Practice-Based Performance in case-based Learning and Improvement that involves small group sessions, lab investigation and evaluation of one's sessions and cadaver autopsy own patient care, appraisal and report assimilation of scientific evidence, and improvements in patient care. NA NA University Curriculum Committee Approved Academic Honor Policy and ADA Statement ACADEMIC HONOR POLICY: The Florida State University Academic Honor Policy outlines the University s expectations for the integrity of students academic work, the procedures for resolving alleged violations of those expectations, and the rights and responsibilities of students and faculty members throughout the process. Students are responsible for reading the Academic Honor Policy and for living up to their pledge to... be honest and truthful and... [to] strive for personal and institutional integrity at Florida State University. (Florida State University Academic Honor Policy, found at http://www.fsu.edu/~dof/honorpolicy.htm.) AMERICANS WITH DISABILITIES ACT: Students with disabilities needing academic accommodation should: (1) register with and provide documentation to the Student Disability Resource Center; and (2) bring a letter to the instructor indicating the need for accommodation and what type. This should be done during the first week of class. This syllabus and other class materials are available in alternative format upon request. For more information about services available to FSU students with disabilities, contact the Student Disability Resource Center 97 Woodward Avenue, South Florida State University Tallahassee, FL 32306-4167 (850) 644-9566 (voice) (850) 644-8504 (TDD) sdrc@admin.fsu.edu http://www.fsu.edu/~staffair/dean/studentdisability/ Clinical Anatomy, Embryology and Imaging Page 8 BMS 6115C Version 6/4/2007

FSU COM ATTENDANCE POLICY COM Philosophy We believe that: Professionalism is a major component of our medical curriculum. We believe students should conduct themselves appropriately in the various educational activities of the curriculum. This conduct includes coming to educational activities on-time, using the laptop computers only for course work during the educational activity, and not disrupting the class if late. The faculty should also demonstrate professionalism, by starting and ending all scheduled educational activities on time and providing a course schedule with clearly explained course policies in the course syllabus. Any changes in the schedule should be given to the students in a timely manner. Students will be accountable and personally responsible for attending all educational activities (small groups, labs, clinical experiences, examinations, lectures, computer sessions, etc.). Unexcused absences reflect negatively on the goals and objectives of the medical curriculum and demonstrate unprofessional behavior by the respective student. We owe it to our state legislature and the citizens of the State of Florida to provide a quality educational program that meets the needs of our students in preparing them for the M.D. degree. Attendance Policy Students are expected to attend all scheduled activities. Students are expected to be on time. Being on time is defined as being ready to start at the assigned time. If a student has an emergency that prevents her/him from attending a scheduled activity, s/he is to call and notify the Office of Student Affairs (Year 1/2) or the Regional Campus Dean (Year 3/4) and request that they inform the supervisors/professors/clerkship faculty/education director for that activity. If at all possible, the student should also call and at a minimum, leave a message with one of the course/clerkship directors. It is important that students realize that their absence or tardiness negatively impacts a number of other people. Attendance, including tardiness, is part of the student s evaluation for professionalism. Negative evaluations may result in decreased grades and in severe cases, referral to the Student Evaluation and Promotion Committee. Clinical Anatomy, Embryology and Imaging Page 9 BMS 6115C Version 6/4/2007

Procedure for Notification of Absence Year 1/2 If the student knows in advance of an upcoming legitimate absence, the Advance Notification of Absence from Educational Activity(ies) form should be completed with signatures from the student, the Associate Dean for Student Affairs, the course faculty member and the Course Director. The form will be filed in the Office of Student Affairs. The implications for the absence (e.g., remediation, course grade adjustment, make-up exam, etc.) will be given to the student by the course director and final decisions regarding these actions shall rest with the course director. If the absence occurs due to an unforeseen emergency, the student should contact the course director and the Associate Dean for Student Affairs immediately to report the absence including the reason for the absence. The implications for the absence (e.g., remediation, course grade adjustment, make-up exam, etc.) will be given to the student by the course director and final decisions regarding these actions shall rest with the course director. Year 3/4 If the student requests an absence in advance, the Advance Notification of Absence from Educational Activity(ies) form should be completed, signed by the student and given to the regional campus dean. The Regional Campus Dean, after consultation with the Education Director and the Clerkship Director, will make the final decision regarding the student s request and give the student the implications for the absence (e.g., remediation, course grade adjustment, make-up exam, etc.). Final decisions regarding implications for the student s grade shall rest with the education director. The clerkship director will notify the faculty member of the decision. The form will be filed in the Office of Student Affairs. If the absence occurs due to an unforeseen emergency, the student should contact the clerkship director and the Regional Campus Dean immediately to report the absence including the reason for the absence. The Regional Campus Dean, after consultation with the education director and the clerkship director will make the final decision regarding implications of the student s absence. The implications for the absence (e.g., remediation, course grade adjustment, make-up exam, etc.) will be given to the student by the campus dean. Final decisions regarding implications for the student s grade shall rest with the education director. The clerkship director will notify the faculty member of the decision. The form will be filed in the Office of Student Affairs. As a general rule there will be no excused absence from a required rotation except in cases of emergency. Under extenuating circumstances excused absence from a required rotation may be allowed for purposes of a residency interview if it is determined by the campus dean that the student has no alternative. Remediation Policy for Absences from Examinations, Quizzes, Small Group Sessions, Laboratory Sessions, Clinical Learning Center Sessions, Preceptor visits, and Clerkship Call Clinical Anatomy, Embryology and Imaging Page 10 BMS 6115C Version 6/4/2007

The remediation policies for absences from examinations, quizzes, small group sessions, laboratory sessions and clerkship call are: 1. POLICY ON MISSED EXAMINATIONS: Students are required to take major in-term and final examinations. According to the curriculum committee a student can only be excused from an examination by a course/education director decision based on the personal situation of the student. The course/education director will determine the time of the exam make-up session. Also, according to the curriculum committee decision and the existence of the FSU- COM honor code, the student will be given the same examination given to the other students. 2. POLICY ON MISSED QUIZZES: Students are required to take scheduled and unscheduled quizzes in the courses. A student can only be excused from a quiz by a course director decision based on the personal situation of the student. The student must make arrangements with the course/education director to make up a missed quiz. Also, according to the curriculum committee decision and the existence of the FSU-COM honor code, the student will be given the same quiz given to the other students. 3. POLICY ON MISSED SMALL GROUP SESSIONS, LABORATORY SESSIONS, CLINICAL LEARNING CENTER SESSIONS, PRECEPTOR VISITS, AND CLERKSHIP CALL: The student should contact the course director, small group leader or education director for instructions on remediation of the missed session and material covered. To obtain an excused absence the student must contact the Office of Student Affairs who will initiate a process to determine whether the absence can be excused. This request must be submitted in a timely manner to allow the process to occur and a decision made for the student request. Emergency requests will also be handled by the Office of Student Affairs. Remediation Policy for Students Who Fail a Course Remediation of courses/clerkships will be planned and implemented by a combined decision of the Evaluation and Promotion Committee in collaboration with the course/education director. Un-excused Absences It will be the responsibility of the course/education directors to clearly state in their respective course/clerkship syllabi the implications for having an un-excused absence from a scheduled educational or examination activity in a course or clerkship. For BMS 6115, students with more than 2 such absences in the summer term will not receive academic credit for the course and a grade of F will be submitted to the Registrar. Students who have an unexcused absence from an examination or a quiz will lose the entire score (points) awarded for that examination or quiz, and the final grade for the course will reflect this loss. Clinical Anatomy, Embryology and Imaging Page 11 BMS 6115C Version 6/4/2007

Course Components Anatomy Laboratory: The laboratory experience will consist of highly interactive, small group activities designed to integrate structure identification with anatomical relationships and clinical significance. A significant portion of the course will be devoted to a dissection lab (four, two hour sessions per week). Student lab teams will be divided into a red and blue team. Each week one of the student lab teams will study the human cadaver, and the other team will study cross-sectional imaging and radiology of the entire body by anatomical regions. The understanding of anatomical relationships will be reinforced with the use of crosssectional, radiographic and digital imaging. To accent the clinical significance of the dissections, students will have anatomy faculty, teaching assistants (year two students), and clinical faculty ( Geriatrics, Family Medicine, Pathology General Medicine, Surgery, etc.) present to reinforce clinical applications of the anatomical information, to understand the geriatric anatomy that is in the laboratory and to assist in recognizing common pathology and surgeries found on the cadavers. Digital video demonstrations of actual dissections and use of the ADAM Interactive Anatomy Program will be presented weekly during a Friday session to confirm the anatomy students studied during each week. For example the blue team from each assigned lab group will be responsible for dissecting a region of the body that week. The red team students in the group will be responsible for studying the osteology, cross-sectional anatomy and radiology of the same region of the body. All students in the group will share their learning with the others in the lab group toward the end of the week. For example, the students dissecting will demonstrate the anatomy on the cadaver dissection and discuss clinical correlations related to that region of the body. The student team who studied the osteology of that same region will demonstrate their learning to others in the lab group. The student team studying cross-sectional imaging of that same region will demonstrate their learning to the others in the group. The faculty and teaching assistants will be available during the laboratory hours to facilitate learning by all students. Students not actively dissecting during lab hours and assigned to study osteology, radiology and/or cross-sectional anatomy can do so in the study room adjacent to the anatomy labs or in their respective community areas. The anatomy lab study room is equipped with models, skeletons, computers, anatomy software, a computer and LCD projector. The anatomy labs and student study rooms are available to students 24 hours a day, seven days a week. Lectures: Lectures will be offered weekly to the entire class. In general, speakers will focus the content of their lectures around major anatomical concepts and introducing clinical relationships aimed at stimulating active student participation. The lectures are intended to be very interactive between students and faculty. In order for this type of dialogue to occur, the student must read the assigned material prior to attending a lecture in order to intelligently discuss issues or ask for clarification about a concept. The lecture is not intended to present all information the student will be evaluated on. The textbooks will be the benchmark for the level of detail examined upon for each anatomical region. Radiology concepts will be presented to stress the value of modern radiologic imaging techniques to clinical problem solving. The lectures are not meant to be data dumps of information. Students in medical school should now transition from pre-med courses where faculty primarily presented the content into a learning mode that requires integration of discussion in large group lectures, the textbook readings, laboratory experiences and clinical correlations. Radiology & Cross-sectional Imaging: The objective of the radiology cross-section component of the course is not to train radiologists. The objective is to develop an understanding of the relationships of three Clinical Anatomy, Embryology and Imaging Page 12 BMS 6115C Version 6/4/2007

dimensional anatomy to basic normal findings in radiology imaging. Radiology imaging related to the anatomical area being covered during each week will be assigned for self study using the required radiology atlas. Lists of structures to identify will be posted at the beginning of the week to guide students about the level of anatomical detail they should be looking for in the images. Students will be required to do self-study during the week using the imaging assigned in the required atlas, and in the cross sectional anatomy program. Representative examples of structures, organs, vessels, etc. that one should be able to identify will be presented prior to the week of radiology and cross-sectional study. This will assist students in understanding the level of detail to focus on in their self study time. Students should be prepared to discuss the imaging at the weekly radiology session that occurs at the end of the week. Students will be randomly chosen to participate in the sessions and describe the anatomy they see in the images presented during the session. Your required textbook in radiology will provide you with all the necessary imaging for your self study of radiology. The cross-sectional anatomy tutor and Symbrio embryology program are located at the following web site, https://mcintranet.med.fsu.edu/sites/courses/anatomy/default.aspx and will be your resource for studying cross sections of the male and female body and correlating it with CT and MR radiologic imaging along with embryology animations. You will have to change your screen resolution to run the program the web site explains how to do this. You will have access to the ADAM Interactive Anatomy program in the anatomy study room, the library and in each of the student communities. The lab is equipped with an ultrasound unit. We will provide opportunities for all students to use an ultrasound unit to visualize anatomy on themselves and each other. This will be related to their anatomical study on the cadaver. Our goal is to provide a basic understanding of how ultrasound images are produced and how they compare to findings from dissections. Students will be able to download the imaging to share with students and faculty. Clinical cases in small group sessions: This course will also incorporate the use of small-group case-based sessions to apply the anatomy the students have learned in the previous week of the course. There will be usually two small-group sessions each week that are 1 hour in length. The cases will correlate with the anatomical region that was studied the previous week. Students, working in small groups, and under the guidance of faculty and teaching assistants, will discuss the information in the case. From this information they will attempt to apply their anatomical knowledge to understanding the clinical problem. They will identify problems and develop a hypothesis list of what may be causing the clinical problem. Occasionally, they may even identify learning issues they have to get information about in order to move forward in the case. These activities will further emphasize the relevance of anatomy on clinical practice and will prepare the students for the process of continuous medical education as future physicians. There will be a panel discussion at the end of the week where students and faculty interact to wrap up the weekly cases with the entire class present. Attendance to all small group sessions is mandatory. Self-Study: Blocks of time are unscheduled each day for independent, self-directed use of faculty resources, educational materials such as videotaped demonstrations, interactive software, the Internet, and even text books. Available Resources The college of medicine has a variety of textbooks and digital texts available to you at the library web site. The college also has made available the Gold Standard Multimedia web site http://www.med.fsu.edu/library/gsm.asp. You are encouraged to visit the Clinical Human Embryology, Cross-sectional Anatomy, Human Anatomy and Radiologic components of this site. You will find imaging and text references including self testing components. A cross-sectional anatomy tutor will be available for you to study normal cross-sectional anatomy using the Visible Human data from the National Library of Medicine at: https://mcintranet.med.fsu.edu/sites/courses/anatomy/default.aspx. Clinical Anatomy, Embryology and Imaging Page 13 BMS 6115C Version 6/4/2007

Assessment: Student performance on all activities will result in an accumulation of points which will determine the student's status for the course and grades will be presented as; A, A-, B+, B, C+, and C. The final grade in the courses will be determined by norm referencing. Depending on the activity, the points awarded will be based on student participation/preparedness and test scores. Practice exams may be presented on Blackboard by the faculty lecturers for the week on a weekly basis related to the anatomical region for students to assess their progress. A weekly quiz, for credit, will be given on material from the previous week on the following Monday (except on the week of the midterm exam). There will also be a Weekly Anatomy Laboratory Test (WALT) given on material from the previous week during the first lab of each week (except on the week of the midterm exam). The midterm and final tests will be given in the form of both laboratory practical exams and written exams. Students will also take the National Board of Medical Examiners Subject Examination in Anatomy and Embryology at the end of the course. Class rankings are NOT reported at the end of the course, only the grade category for each student. Individual students can obtain grades can be accessed from the course Blackboard site under the Student Tools section and My Grades subsection. Grades will be reported after all quizzes and interm examinations and laboratory practicals. Clinical Anatomy, Embryology and Imaging Page 14 BMS 6115C Version 6/4/2007

Required/ Recommended Textbooks & Atlases Title Author Edition Required/Recommended Essential Clinical Anatomy, Lippincott Williams and Wilkins: ISBN: 078176274X Moore, Keith, L., and Agur, Anne, M. R. 3rd Required Essential Anatomy Dissector- Lippincott, Williams & Wilkins: ISBN: 0781732832 Langman s Essential Medical Embryology, Lippincott Williams and Wilkins ISBN: 0781755719 If you have not had any previous embryology courses, you may want to obtain the text listed below instead of the essentials of embryology text. Langman s Medical Embryology Lippincott Williams and Wilkins ISBN:0781794854 Hansen, J. T. 2 nd Required Sadler, T. W. 1 st Required Sadler, T. W. 10 th Alternate required Imaging Atlas of Human Anatomy Mosby ISBN: 0723432212 Weir, J., and Abrahams, P.H. 3 rd Required You can also get the following if you like working with the radiology imaging on your computers- Imaging Atlas of Human Anatomy CD ROM ISBN-13: 978-0-323-03411-1 or ISBN-10: 0-323-03411-X Weir, J., and Abrahams, P.H. August 2005 Anatomy in Diagnostic Imaging - Harcourt Publishers; ISBN: 072169358x Fleckenstein & Tranum-Jensen 2 nd Recommended as an alternate Choice of one only : (a) Grant's Atlas of Anatomy - Lippincott, Williams & Wilkins; ISBN: 081742552 Agur, A.M.R. and Lee, M.J. 11th Only 1 of these three atlases is required (b) Netter's Atlas of Human Anatomy Icon Learning Systems ISBN007116 Netter, F.H. 3rd (c)mcminn s Color Atlas of Human Anatomy Elsivier Science Limited ISBN: 0723432120 Abrahams, P.H., Marks Jr., S.C., Hutchings, R 5th Other reference texts recommended, but not required Clinically Oriented Anatomy - Lippincott Williams & Wilkins: ISBN: 0683061410 Color Atlas of Anatomy: A Photographic Study of the Human Body Keith L. Moore & Arthur Dalley Johannes W. Rohen, Chihiro Yokochi and Elke Lutjen-Drecoll 5th 5th Recommended Reference Book Recommended Reference Clinical Anatomy, Embryology and Imaging Page 15 BMS 6115C Version 6/4/2007

Lippincott, Williams & Wilkins: ISBN: 0781731941 Atlas What else do you need for the course?? 1. dissecting kit (optional we supply basic tools) 2. lab coat or scrubs 3. eye protection this can be glasses or safety glasses Optional items you might purchase that will help you in the laboratory 1. plastic baster for each table to remove fluid from cadaver cavities 2. plastic apron We will provide surgical gloves for the laboratories Clinical Anatomy, Embryology and Imaging Page 16 BMS 6115C Version 6/4/2007

Assessment Overview. The student's final course grade will be based on the cumulative scores received on each component of the course. The table below indicates the relative weightings for the components. A maximum of 100 points is possible. Determination of Grades Component Points Total percent for each category Written Exams 40 1 st half 100 2 nd half 100 Laboratory Exams 20 1 st half 50 2 nd half 50 Other Weekly Written Quiz 70 14 Weekly WALT 40 8 Cadaver/Case Report/Team Work 15 3 NBME Subject examination 50 10 PBL 25 5 TOTAL 500 100 Grading scale for the course Grade High % Low % A 100 90 B+ 89 87 B 86 80 C+ 79 77 C 76 70 D 69 65 F <64 Important grading issues 1. To pass the CAEIC course, students must make at least 70 overall, pass the PBL and have an average of at least 70 on the combined written and laboratory exams of the course. 2. Rounding (>.75 moves up one whole number) of the final score is done at the end, not at each step. 3. Individual grades are reported for the permanent record as either A, B+, B, C+, C, D, and F. Exact scores are only used to determine the grade category. PBL Assessment. A student's performance in the PBL component of the course will be determined by the course director based on data provided by the primary and secondary facilitators at the end of the course. Opportunity for peer and self assessment will be provided, but will be not be part of the grade. Likewise, mid-course feedback will Page 17

be given to each student at the beginning of the fifth week by the facilitator to give the student an idea of how their performance is perceived, and to give adequate time for improvement, if warranted. Students will also give peer evaluation of their group members and a self evaluation of their performance. The purposes and criteria for facilitators to evaluate students of the small group exercise are to: encourage team work develop critical thinking skills develop self-directed, life long learning skills develop a professional attitude develop better communicative skills Therefore, the student performance in the PBL will be judged on both group interaction and professionalism rather than focusing solely on cognitive skills. The following criteria will be considered: Professional Behavior Group Interaction & Communication Preparedness Knowledge Acquisition & Problem Solving Skills Attendance A score of 25 is reserved for the exceptional student. An example would be someone who possesses superior leadership qualities, whose opinions are highly respected and sought by the group and facilitator, who puts the group's function above his/her own personal acclaim, and demonstrates superior use of content knowledge in the understanding of the clinical cases. A score of 20 reflects a student who is performing exactly at the level expected at that stage of their medical education. Only students performing at or above the expected level (i.e. 20) will be eligible to receive an A grade in the course. In other words, a student may have the percentage points for an A grade, but receive a B+ if they score below 20 in small group. The PBL part of the course will contribute to the course grade. In addition, the written exams will contain questions that will test the application of the relevant clinical anatomy of the cases. Students will also be given the opportunity to evaluate the facilitators at the end of the course. Written Exams Block Examinations. The mid-term and final exam will each carry a 20% value towards the final course grade. Two major examinations will be given in the course on the same day as the practical examinations: please refer to course schedule for the examination dates. Like the laboratory exams, the midterm written exam will cover the material encountered during the first five weeks. The second block exam will cover material from the last five weeks of the course and is not comprehensive. Each block exam will consist of approximately 100 multiple choice type questions. Many written questions will emphasize the clinical application of anatomy and will often be based on clinical scenarios. Information from all course activities is considered testable material for the written exams. Students will NOT be allowed to keep their examinations. The final examination is not comprehensive. The approximate percentage for the sources of the written exam questions are as follows: 1. Lecture-guided topics, 75-85% 2. Assigned reading not lectured upon, 5-10% 3. PBL Cases and Clinical Discussions, 5-10% 4. Integration of X-sectional, radiographic imagery and pathology, 5-10% Page 18

Weekly Quizzes: There will be a weekly quiz given that will include 10 questions on material covered in the previous week s lectures and laboratory sessions. The quizzes will be administered every Monday at the start of class. Each student will be required to take the examination. There will be nine weekly quizzes. The weekly quizzes will count for 14% of the final grade. Two of the lowest scored quizzes will not be counted, so the grade will be actually based on 7 weekly quizzes. NBME Subject Examination: This is a comprehensive examination testing knowledge in anatomy and embryology. The grade will be calculated by taking the highest score on the examination equaling 100% and the remaining scores factored according to that value. This examination will count for 10% of the final grade Laboratory Assessment Laboratory Block Exams. The primary evaluation of the student's anatomical knowledge over the laboratory activities will be through two practical exams, one at mid-term and one at the end of the course. The practicals consist of 50 questions consisting of basic identification and association type questions, plus a bonus question worth one point. Approximately 40 structures are tagged on the cadavers, models and skeletons, and the content level is comparable to most of the BOLDED TEXT structures in the dissector. About 10 questions will be test knowledge about normal radiology and cross-sectional anatomy. The two practicals are of equal value and each worth 10 percent of the final grade. The final practical is not comprehensive. Weekly Anatomy Lab Tests (WALT). Each dissection table will be quizzed on a weekly basis except for the first week and the week of the mid-term examination. The grade received will apply to each person at the table. The purpose of the exercise is to encourage the completion of the dissections, promote team work and to provide an appreciation for anatomical differences between cadavers.. During the first lab of the week each table will receive a list of 5 structures related to the previous week s dissections to be tagged on their cadaver. The structures to be identified will be checked by the instructor or TA and a score assigned by the faculty or teaching assistant member for the laboratory group. Students will be encouraged to view the tagged structures at other tables. This activity is 8% of the course grade. Evaluation of teamwork of red and blue lab activities. You will complete a peer evaluation of your group members participation in both the red and blue teams activities. You will also do a peer evaluation of your own performance. Cadaver/Case Report. Each dissection table will be required to keep a report on their cadaver. The students at each dissection table should note any significant findings in the report such as evidence of surgical procedures, trauma or injury, anatomic variation, cause of death and pathology. The report form contains boxes for drawings. The report will be checked on a weekly basis (usually on Monday) by a faculty member and will be worth 3% of the final grade The form for the report will be provided on the course web site. Your group will give a presentation of your cadaver autopsy report at the end of the course. Your group will hypothesize the cause of death of your cadaver based on your observations. Fellow students and faculty can ask you questions about your presentation, so be prepared for this possibility. You will also include a one page case report summary that describes, based on your observations on the cadaver and the cause of death, a case report about the cadaver based on the information you have obtained in your cadaver report. The completed cadaver/case report must be turned in on last day of formal classes. The reports must be submitted electronically. Page 19

The report should include the table number and names of the group members. You will all complete peer evaluations of your group and a self evaluation related to working to complete this cadaver autopsy report. Course and Faculty Evaluation: Mid Course Evaluations: A random sample of students will be asked to participate in a Mid-Course evaluation by the Office of Medical Education. This will assist the course director in being able to make any mid course adjustments based on the student feedback. End of Course Evaluation. A random sample of students will be required to complete an evaluation of the course administered by the Office of Medical Education at the end of the course. Student evaluations will be kept anonymous to the course director. Comments are of particular interest for improvement of the course. Students must complete the evaluation in order to have their course grade recorded. Evaluation of Faculty Students will be asked to complete the FSU SPOT/SUSSAI faculty evaluation forms for major course faculty and the FSU COM faculty evaluation form. Student evaluations of the course, lecturers, facilitators peers and self are required in order for grades to be released to the FSU Registrar. Page 20

Faculty & Staff Course Director Andrew F. Payer, Ph.D. Professor and Year One Director College of Medicine Room 2300F Phone 850-644-7501 FAX 850-644-5766 andrew.payer@med.fsu.edu Course Faculty Edward Klatt, M.D. Professor and Year Two Director Morton Levitt. M.D. MHA Professor Dr. Jacob Vanlandingham, Ph.D. Assistant Professor James Cavanagh, M.D. 75 Bellac Rd. 850-562-1533 Course Teaching Assistants 1. Cooke, Sarah 2. Doster, Jamie 3. Gadbois, Brian 4. Knobbs, Amanda 5. Hall, Megan 6. Lee, Phillip 7. McCall, Christina 8. Porter, Fernando 9. Rachals, Cara 10. Schwartz, Holly 11. Sochet, Anthony 12. Swanson, Steffanie Page 21

Order of Weekly Content Areas WEEK REGION 1 Thorax 2 Back & Upper Extremity 3 Abdominal Wall & Cavity 4 Abdominal Cavity completed 5 Neck & Head 6 Head, Skull & Brain 7 Orbit, Pharynx, Nasal & Oral cavities 8 Larynx and Ear 9 Pelvis & Perineum 10 Lower Extremity Page 22

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Protocol For The FSU-COM Human Anatomy Laboratory Dr. Andrew Payer is the member of the State of Florida Anatomical Board representing the FSU-COM and responsible for the confidentiality and dignity for the remains of the individuals who willed their bodies to the state of Florida. Lab activity 1. Access. The anatomy lab will be open 24 hours a day, 7 days a week during the semester. After hours the anatomy lab can be accessed by the card reader. 2. All students, faculty and approved guests must sign Pledge of Respect form 3. Authorized Personnel. Only COM medical students, faculty and other health-related personnel and facility workers are permitted access to the lab. FSU badges are the best form of I.D. All unauthorized persons will be told to leave immediately. After scheduled course hours, campus police regularly patrol the area and will escort trespassers from the lab and report the person(s) responsible for the unauthorized entry to appropriate authorities for corrective purposes. Immediate family members and healthoriented guests of medical student's must first receive authorization from Dr. Payer before being allowed entry into the lab. The lab doors should not be opened for anyone "knocking" other than for an authorized person (i.e. student forgetting their card). Visitation is NOT permitted during scheduled dissection periods. During any visit of authorized guests they should avoid all opened cadaver tanks. Minors will NOT be admitted except as part of an organized tour. It is the responsibility of all authorized personnel, faculty and students, to enforce these rules. It is the LAW that donors to the Florida Anatomical Board are guaranteed the respect and confidentiality in the spirit by which their gift was donated to our institution. Any disrespect to the cadavers will be dealt with accordingly. 4. According to Florida law, removal of any cadaver parts, whatsoever, from the laboratory is a crime of grave robbery. 5. NO photographs are to be taken of the cadavers or anything in the laboratory, except for images necessary for cadaver autopsy reports. Page 24